Active NPI
Peter J Marvin
- Marriage & Family Therapist
- Grass Valley, CA
National Provider Identifier
1235567678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 70321
- Practice address
- 900 E Main St
Suite 201
Grass Valley, CA 95945 - Phone
- (530) 264-6033
- NPI assigned
- Oct 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 70321 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
900 E Main St
Suite 201
Grass Valley, CA 95945
Mailing address
855 Canyon Rd
Redding, CA 96001-5544
Phone (530) 232-1401
Other practice location 1
900 E Main St
Suite 201
Grass Valley, CA 95945-5853
Phone (530) 264-6033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70321 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Hope Marriage & Family Therapy Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Redding, CA
- NPI 1962903161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1235567678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 CANYON RD",
"city": "REDDING",
"state": "CA",
"postal_code": "960015544",
"telephone_number": "530-232-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E MAIN ST",
"address_2": "SUITE 201",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-264-6033"
}
],
"practiceLocations": [
{
"address_1": "900 E Main St",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Grass Valley",
"state": "CA",
"postal_code": "959455853",
"country_code": "US",
"telephone_number": "530-264-6033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARVIN",
"first_name": "PETER",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-22",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "70321",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.